go back

Utah rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.41 / $50.33 / $215.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $24.03 / $31.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $24.86 / $77.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $29.25 / $36.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.86 / $48.86 / $48.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $32.51 / $127.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $22.14 / $24.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $11.87 / $16.96